| NPI | 1346809829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-840) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1373) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2022-11-25 |